Organization
SKIN SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA REDDICK RODGERS MD (MEDICAL DIRECTOR)
(972) 649-6644
Entity
Organization
Contact information
Practice address
1101 RAINTREE CIR, 250, ALLEN, TX 75013-4922
(972) 649-6644
(972) 649-6663
Mailing address
1101 RAINTREE CIR, 250, ALLEN, TX 75013-4922
(972) 649-6644
(972) 649-6663
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N1109
TX
Other
Enumeration date
12/29/2008
Last updated
03/01/2021
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